Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $493.46 / $613.16 / $823.27	Professional		$493.46	$613.16	$823.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $801.77 / $801.77 / $801.77	Professional		$801.77	$801.77	$801.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.97 / $394.97 / $394.97	Facility		$394.97	$394.97	$394.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $335.72 / $394.97	Professional		$288.33	$335.72	$394.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.27 / $1,045.64 / $1,254.77	Professional		$813.27	$1,045.64	$1,254.77
United Facility/Professional Professional Modifier Low / Median / High Price $474.47 / $638.91 / $1,009.77	Professional		$474.47	$638.91	$1,009.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $800.18 / $800.18 / $946.43	Professional		$800.18	$800.18	$946.43